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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Headaches Instantaneously?

Yes, please help if possible. About 3 weeks ago, I had an extremely horrific headache that came on instantaneously. I am a 54 year old female with R/A, and I m on several meds for that. Methotrexate, Cimzia. M/S ER, Prednisone, among other meds. The meds have caused about a 40# weight gain in a 9 month period. I was 140#,now am 180. I am 5 10 . My BP has been slowly creeping upalso, and t the time of the H/A, I wasn t on anyhing for it. Now I m on Cardizem 180mg. ER per day. This nagging H/A had been hanging around daily for a month or more. It was totally left ided. My face was numb. I developed aphasia, and was very confused. I sought treatment and was diagnosed as bipolar for whatever reason. I saw no neurologist, even though one was on staff,but I saw a psychiatrist!! A CT scan of my head was done, along with labs. The scan was normal, they say. My K+ was 2.7, so they supplemented through my IV. I was hositalized, and watched on telemetry. Shouldn t an MRI and an EEG have been done? I have a lot of unanswered questions...
Fri, 8 May 2020
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Internal Medicine Specialist 's  Response
Hi,

Rheumatoid arthritis with dmards, like methotrexate etc., with steroid like prednisolone for long time can cause side effects. My suggestion:
First, if your arthritis disease is under control then better control or decrease predinsolone and stop
Then monitor your blood pressure
Taking CT C spine is very helpful for age, for RA causing headache.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Suneel, Internal Medicine Specialist
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What Causes Severe Headaches Instantaneously?

Hi, Rheumatoid arthritis with dmards, like methotrexate etc., with steroid like prednisolone for long time can cause side effects. My suggestion: First, if your arthritis disease is under control then better control or decrease predinsolone and stop Then monitor your blood pressure Taking CT C spine is very helpful for age, for RA causing headache. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Suneel, Internal Medicine Specialist